2026 NPPES data Interventional Cardiology Physician NPI 1679557375 M.D.
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SHANE DARRAH, M.D.

Interventional Cardiology Physician in COLUMBUS, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
13K
Medicare Part D claims · 2K beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5623/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$1.4K
48 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHANE DARRAH, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in COLUMBUS, Georgia with a Medicare Part D prescribing footprint of 13K claims across 2K beneficiaries — 26% brand-name prescribing . Their CMS MIPS Final Score of 93.5623/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.4K across 48 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHANE DARRAH, M.D. reported a CMS MIPS final score of 93.5623 out of 100, above the 83.1 national average, and filed 13,472 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHANE DARRAH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHANE DARRAH, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/06/2005

NPI 1679557375

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

13,472 351% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

93.5623/100 10.462299999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Interventional Cardiology Physician compares to other specialties among Georgia providers

Georgia providers

Interventional Cardiology Physician share within Georgia

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Georgia

Medicare quality performance — MIPS

SHANE DARRAH, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
93.5623/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 93.5623/100 vs national avg 83.1

0%100%National avg83%93.6%
MIPS final score (Interventional Cardiology Physician) — 93.5623/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SHANE DARRAH, M.D. is a Interventional Cardiology Physician provider practicing in COLUMBUS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1679557375. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SHANE DARRAH, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 2121 WARM SPRINGS RD, COLUMBUS, GA, 31904, with a listed phone of (706) 243-4500. NPI 1679557375 was issued on 12/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DARRAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 13,472 prescription claims written by this provider, covering 1,578 Medicare beneficiaries and totaling roughly $4.0 million in drug spend, split 26% brand-name and 74% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.5623/100 for the 2023 performance year (Quality 100, Cost 74.1846), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2121 WARM SPRINGS RD
COLUMBUS, GA 31904

Provider Details

NPI 1679557375
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 12/06/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.5623
Final Score
Avg: 83.1
100
Quality
74.1846
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where SHANE DARRAH, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SOUTHEASTERN CARDIOLOGY ASSOCIATES PC
COLUMBUS, GA
ST FRANCIS PHYSICIAN PRACTICES LLC
COLUMBUS, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SHANE DARRAH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

SHANE DARRAH, M.D. — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 13,472 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

13,472
Total Claims
$4.0M
Total Drug Cost
1,578
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30,725
Total Day Supply
917,500
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$3.7M
Generic Drug Cost
$283K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.73
Gender Split
48% female / 52% male
Age Distribution
<65: 120, 65-74: 630, 75-84: 653, 85+: 175

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
1,272
Eliquis
Apixaban
1,164
Carvedilol
1,116
Metoprolol Succinate
914
Furosemide
682
Amlodipine Besylate
651
Xarelto
Rivaroxaban
566
Entresto
Sacubitril/Valsartan
484
Rosuvastatin Calcium
459
Isosorbide Mononitrate Er
Isosorbide Mononitrate
396

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Cardiology Physician Overview

How SHANE DARRAH, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

SHANE DARRAH, M.D.'s 13,472 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as DARRAH.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHANE DARRAH, M.D.'s specialty?
SHANE DARRAH, M.D. specializes in Interventional Cardiology Physician and practices in COLUMBUS, Georgia. Credentials: M.D..
How much does SHANE DARRAH, M.D. prescribe under Medicare Part D?
In 2023, SHANE DARRAH, M.D. wrote 13,472 Medicare Part D claims totaling $4.0M in drug costs for 1,578 beneficiaries.
What is SHANE DARRAH, M.D.'s Medicare quality score?
SHANE DARRAH, M.D. has a CMS MIPS Final Score of 93.5623/100 (Quality: 100, Cost: 74.1846). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHANE DARRAH, M.D. located?
SHANE DARRAH, M.D. is located at 2121 WARM SPRINGS RD, COLUMBUS, GA, 31904. Phone: (706) 243-4500.
What is SHANE DARRAH, M.D.'s NPI number?
SHANE DARRAH, M.D.'s National Provider Identifier (NPI) is 1679557375, issued on 12/06/2005.
Does SHANE DARRAH, M.D. prescribe more brand-name or generic drugs?
SHANE DARRAH, M.D.'s prescribing is 26% brand-name and 74% generic drugs by claim count, with $3.7M in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does SHANE DARRAH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHANE DARRAH, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHANE DARRAH, M.D. accept Medicare?
SHANE DARRAH, M.D. appears in CMS Medicare data with 13,472 Part D claims and 1,578 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHANE DARRAH, M.D.'s credentials?
SHANE DARRAH, M.D.'s NPI is 1679557375 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology